Leellen Lou Anderson, LASAC Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Kingman, AZ
- NPI
- 1174860290
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- LASAC 13268 (AZ)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2013-01-09
- Last updated
- 2013-01-09
Practice location
2002 N Stockton Hill Rd
Kingman, AZ 86401-4698
(928) 718-4800